<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
	<head>
		<meta http-equiv="Content-Type" content="text/html; charset=UTF-8" />
		<meta http-equiv="X-UA-Compatible" content="IE=8" />
			<title><!--%nom_fonction%--></title>
			<link rel="stylesheet" type="text/css" href="../../css/main.css" />
            <link rel="stylesheet" type="text/css" href="../../css/list.css" />
			<!--[if IE 7]>
            	<link rel="stylesheet" type="text/css" href="../../css/ie7.css" />
            	<link rel="stylesheet" type="text/css" href="form_ie7.css" />
            <![endif]-->
 
			
            
	</head>

<body>
	<div id="sf_menu1">
			<h3><!--%nom_module%--></h3>
		</div>
			<div class="cleared"></div>
		
		<div class="corps1">
		
			<div id="information_erreur" >
        		<ul id="message">
        			<!--%loop:messages%-->
        			<li><!--%message%--></li>
        			<!--%endLoop:messages%-->
        		</ul>
      		</div>
	
			<!--/***************************************/-->

	        
	        <div class="imgleft"></div>
			<div class="imgmiddle">
			
				<div class="btn">
		        	<span class="btnleft"></span>
		            <span class="btnmiddle">
		            	<h5><!--%nom_fonction%--></h5>
		            </span>
		            <span class="btnright"></span>
		        </div>
	        
				<div class="btn1">
		        	<span class="btnleft"></span>
		            <span class="btnmiddle">
		            	<h5><!--%nom_liste%--></h5>
		            </span>
		            <span class="btnright"></span>
		        </div>
		        <div class="cleared" ></div>
			
			
		<form action="<!--%edit_action%-->" method="post" name="form1" id="form1">
		
		      <div class="formulaire">
		
		          <table class="tabform">
		  
		          <!--%loop:champ_input%-->
							
		          <!--%if:isset($['label_input'])%-->
			<tr>
			<td><!--%label_input%--></td>
			 <td> <input type="text" name="<!--%input_name%-->"   maxlength="<!--%maxlength%-->"    value="<!--%input_value%-->"  size="32" disabled="<!--%disabled%-->" /> </td>
		   	</tr>
			
			     <!--%endIf%--> 
							
			     <!--%endLoop:champ_input%-->
			     
		      </table>
				</div>
	      </div>
      </form>
	 
	<div class="imgright"></div>
	<div class="cleared"></div>
	
	
	 <div class="bt inp"> <a href="<!--%url_Retour%-->"><span class="btleft"></span>
        <span class="btmiddle">Retour</span>
        <span class="btright"></span>
    </a>
    </div>
		<div class="bt">
	<span class="btleft"></span>
	<input type="submit" name="Valider" value="Valider" class="resizeall btmiddle"/>
	<span class="btright"></span>
  </div>



</body>
</html>